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Suggest Treatment For Hypothyroidism When Diagnosed With Osteoarthritis

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Posted on Fri, 26 Aug 2016
Question: Good afternoon - I have hypothyroidism, and am on 50 micrograms of thyroxine. I have over the past few weeks experienced joint/muscle pain in my shoulders, back, wrists and knees. Can this be associated with this condition. I do have osteoarthritis in my left shoulder and forefingers. Medications I am on currently are gabapentin for nerve pain, levothyroxine, omeprazole for heartburn and fluoxetine 40mg for recent stress and anxiety. I am a 60 year old woman, who had a hysterectomy at age 29 for widespread endometriosis, which may be a contributory factor. I am also on medication for HBP and as a consequence of this am on the Renal Register at my GP Practice which is being monitored regularly by blood tests.
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your bothersome symptoms.

If your thyroid lab test results are at goal then your symptoms are extremely unlikely to be related to the thyroid condition.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (1 hour later)
I know that my renal function tests have to be repeated earlier than normal (with respect to electrolytes). Could a change in these cause the joint/muscle pains. I am having these repeated next week (two months following my usual annual haematology checks)?
doctor
Answered by Dr. Shehzad Topiwala (52 minutes later)
Brief Answer:
Follow up

Detailed Answer:
It is unlikely you would get such symptoms from change in renal function.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Hypothyroidism When Diagnosed With Osteoarthritis

Brief Answer: Thyroid Detailed Answer: Sorry to learn about your bothersome symptoms. If your thyroid lab test results are at goal then your symptoms are extremely unlikely to be related to the thyroid condition. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day